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PHOTOCLINIC

Facial Nerve Palsy in a Female Teenager
September 13, 2012

A 14-year-old female presented with a 1-week history of right-sided facial numbness. Ear pain on the affected side was the first symptom and was followed by progressive paresthesia. She was otherwise asymptomatic.

Dyskeratosis Congenita: An Inherited Bone Marrow Failure Syndrome
May 1, 2012

If patient presents with abnormal pigmentation, nail dystrophy, and leukoplakia, keep this entity in mind.

Minocycline Hyperpigmentation
February 3, 2012

A 17-year-old girl being treated for mild acne, anxiety, and depression, presented with an ankle “bruise” related to an injury sustained 2 years earlier. Symptoms resolved with treatment, but the hyperpigmentation persisted.



 
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Allergy

  • Infant and Toddler With History of Cough

    A 6-month-old boy has a 1-week history of dry cough that worsens at night. He has been wheezing intermittently for the past month. A 2-year-old girl has had severe nighttime cough, congestion, and fever for 2 days. She recently recovered from a respiratory illness of 1 month's duration. Chest radiographs of both patients are shown… Read More

  • Recommendations for Flu Vaccination

    Last year, the Advisory Committee on Immunization Practices updated its vaccination recommendations to include new guidelines for children ages 6 months through 8 years, and for persons with egg allergy. Read More

  • Exercise and Asthma Guidelines

    Patients with asthma may be reluctant to exercise for fear of triggering an attack. You can reassure them that adequate control can allow them to participate in almost any physical activity they wish. Recommendations from the NIH offer guidance on prevention of exercise-induced bronchospasm… Read More

  • Infant With Persistent Fever and Cough, Worsening Rash

    A  14-month-old girl presented with persistent fever, cough, and worsening rash of 5 days' duration. On the first day of the illness, the infant was brought to an acute care clinic for evaluation. Read More


 
 
LATEST FEATURES
December 10, 2012
Asthma Therapy Complicated by Peters Plus Syndrome
The authors describe the case of a 2-year-old girl with severe persistent asthma whose disease management was complicated by this rare clinical diagnosis. More »
May 1, 2012
Dyskeratosis Congenita: An Inherited Bone Marrow Failure Syndrome
Abnormal pigmentation, nail dystrophy, and leukoplakia may signal dyskeratosis congenita. More »
January 6, 2012
Are Children with Asthma and a Single Parent at Greater Risk for Emergency Care?
Children with asthma living in single-parent homes were found 50% more likely to return to the hospital within 12 months than children living with 2 parents. What's the real underlying cause? More »
January 5, 2012
History of Cough in an Infant and a Toddler
A 6-month-old boy with 1-week history of dry cough that worsened at night. He had been wheezing off and on for the past month and had visited the emergency department on one... More »
December 2, 2011
Podcast: 5 Myths About Office-Based Spirometry—and Why You Really Do Need This Essential Tool
In this podcast, Dr John Kelso dispels myths and makes a case for office-based spirometry for pediatricians. ... More »
November 3, 2011
Chronic Bullous Disease of Childhood
A 4-year-old, previously healthy girl presented to a tertiary care children’s hospital emergency department (ED) with... More »
October 12, 2011
Updated Recommendations for Flu Vaccination
As the calendar advances to the fall months, we are reminded everywhere that it’s time for the annual influenza... More »
December 20, 2010
Lessons From Colby
Like many physicians, I find it difficult to care for a patient with a terminal disease—a discomfort heightened... More »
November 30, 2010
Influenza Vaccine for Egg-Allergic Patients—Safe?
My 18-month-old son has had a diaper rash, with no other symptoms, within a few days of eating a poached egg on 3 separate occasions. More »
November 17, 2010
Wiskott-Aldrich Syndrome
This 9–month–old boy was initially evaluated at age 6 weeks for an extensive eczematous rash on the head and antecubital and diaper areas and blood... More »
Showing 1 - 10 of 44 results.
Page of 5
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JOURNAL SCAN
Severity and Outcome Associated With Human Coronavirus OC43 Infections Among Children
journals.lww.com - 4/1/13
imageBackground: Human coronaviruses are known causes of the common cold. Subtype OC43 (HCoV-OC43) is the more prevalent human coronavirus in several parts of the world. Recent studies have suggested these viruses can cause severe lower respiratory tract illnesses in chil
Programming of respiratory health in childhood: influence of outdoor air pollution
journals.lww.com - 4/1/13
imagePurpose of review: This overview highlights recent experimental and epidemiological evidence for the programming effects of outdoor air pollution exposures during early development on lung function and chronic respiratory disorders, such as a
IL-8 Predicts Pediatric Oncology Patients With Febrile Neutropenia at Low Risk for Bacteremia
journals.lww.com - 4/1/13
imageIntroduction: Despite a low bacteremia rate, pediatric oncology patients are frequently admitted for febrile neutropenia. A pediatric risk prediction model with high sensitivity to identify patients at low risk for bacteremia is not available. We pe
Seasonality of Acute Otitis Media and the Role of Respiratory Viral Activity in Children
journals.lww.com - 4/1/13
imageBackground: Acute otitis media (AOM) occurs as a complication of viral upper respiratory tract infections in young children. AOM and respiratory viruses both display seasonal variation. Our objective was to examine the temporal association between circulating
PLOS ONE: Fv1 Restriction and Retrovirus Vaccine Immunity in Apobec3-Deficient 129P2 Mice
www.plosone.org - 3/22/13
PLOS ONE: an inclusive, peer-reviewed, open-access resource from the PUBLIC LIBRARY OF SCIENCE. Reports of well-performed scientific studies from all disciplines freely available to the whole world.
 
MEDLINE
Child and parental reports of bullying in a consecutive sample of children with food allergy.
pubmed.gov - 12/31/12
The social vulnerability that is associated with food allergy (FA) might predispose children with FA to bullying and harassment. This study sought to quantify the extent, methods, and correlates of bullying in a cohort of food-allergic children.|Patient and parent (83.6% mothers) pairs were consecutively recruited during allergy clinic visits to independently answer questionnaires. Bullying due to FA or for any cause, quality of life (QoL), and distress in both the child and parent were evaluated via questionnaires.|Of 251 families who completed the surveys, 45.4% of the children and 36.3% of their parents indicated that the child had been bullied or harassed for any reason, and 31.5% of the children and 24.7% of the parents reported bullying specifically due to FA, frequently including threats with foods, primarily by classmates. Bullying was significantly associated with decreased QoL and increased distress in parents and children, independent of the reported severity of the allergy.
A randomized trial of stylets for intubating newborn infants.
pubmed.gov - 12/31/12
Endotracheal intubation of newborn infants is a common and potentially lifesaving procedure but a skill that trainees find difficult. Despite widespread use, no data are available on whether the use of a stylet (introducer) improves success rates. We aimed to determine whether pediatric trainees were more successful at neonatal orotracheal intubation when a stylet was used.|An unblinded randomized controlled trial conducted between July 2006 and January 2009 at a tertiary perinatal center, the Royal Women's Hospital, Melbourne, Australia. Eligible participants were newborn infants in the delivery room or NICU requiring endotracheal intubation for respiratory support. Infants were intubated by pediatric residents or fellows. Infants were randomized to have the procedure performed by using either an endotracheal tube alone or with a stylet. Successful intubation at the first attempt assessed by colorimetric detection of expired carbon dioxide was the primary outcome.|Three hundred two
Nosocomial rotovirus gastroenetrocolitis in children hospitalized primarily due to respiratory infections.
pubmed.gov - 12/31/12
Rotaviruses are the leading cause of community-acquired and nosocomial gastroenterocolitis in children. There is little data concerning the epidemiology of nosocomial rotavirus gastroenterocolitis (NRVG) in Central European countries. The aim of our study was to analyze the epidemiology of NRVG in a pediatric hospital in Warsaw, Poland, where the majority of children was admitted due to respiratory tract infections. Retrospective chart analysis of 49,697 patients aged 0-18 hospitalized during 2006-2009 was performed. NRVG was defined as acute gastroeneterocolitis (>3 loose stools in 24 h or vomiting), confirmed with A rapid immunochromatographic test, if symptoms developed >48 h after admission. In total, 469 cases of NRVG were diagnosed. The cumulative attack rate of NRVG for the hospital was calculated as 0.97% (CI 0.86-1.02), the cumulative incidence density was 2.07/1000 bed-days (CI 2.01-2.13). The majority of NRVG were diagnosed at the General Pediatrics Ward (206 cases, 44%)
Cephalosporins for patients with penicillin allergy.
pubmed.gov - 12/23/12
23282790 2013 01 03 2013 02 20 1523-2859 54 1406 Dec 24 Med Lett Drugs Ther 101 eng Journal Article Review United States Med Lett Drugs Ther 2985240R 0025-732X 0 Anti-Bacterial Agents 0 Cephalosporins 0 Penicillins 0 beta-Lactams 37341-29-0
Childhood tuberculosis and malnutrition.
pubmed.gov - 12/14/12
Despite the burden of both malnutrition and tuberculosis in children worldwide, there are few studies on the mechanisms that underlie this relationship. From available research, it appears that malnutrition is a predictor of tuberculosis disease and is associated with worse outcomes. This is supported through several lines of evidence, including the role of vitamin D receptor genotypes, malnutrition's effects on immune development, respiratory infections among malnourished children, and limited work specifically on pediatric tuberculosis and malnutrition. Nutritional supplementation has yet to suggest significant benefits on the course of tuberculosis in children. There is a critical need for research on childhood tuberculosis, specifically on how nutritional status affects the risk and progression of tuberculosis and whether nutritional supplementation improves clinical outcomes or prevents disease.
 
CLINICAL TRIALS
Severity and Outcome Associated With Human Coronavirus OC43 Infections Among Children
journals.lww.com - 4/1/13
Programming of respiratory health in childhood: influence of outdoor air pollution
journals.lww.com - 4/1/13
IL-8 Predicts Pediatric Oncology Patients With Febrile Neutropenia at Low Risk for Bacteremia
journals.lww.com - 4/1/13



 
FROM PHYSICIANS PRACTICE
Five Steps to Improving Patient Access
Judy Capko,  May 21, 2013
Patient access is getting increased attention through reform initiatives. Here are five steps you can take to make sure patients get appropriate access to care in your office.
Growing HIPAA Threat – Ignore Windows XP at Your Own Peril
Marion K. Jenkins,  May 21, 2013
Chances are good that you have some major ticking software time bombs lurking in your medical practice's computer environment, namely Windows XP and Server 2003.
Finding Physician Work-Life Balance in the Small Moments
Jennifer Frank, MD,  May 21, 2013
At my practice and at home, things are always busy. There's laundry or homework, or a patient with needs.
Three Areas to Reduce Costs at Your Medical Practice
Greg Mertz,  May 19, 2013
By taking a hard look at reducing costs for staffing, overhead, and technology at your medical practice, you may see increased physician compensation.
Dos and Don’ts for Starting a Physician Blog
Michael Woo-Ming, MD,  May 18, 2013
Starting a physician blog can provide your medical practice with marketing benefits, but it's important to do it right.
 

 
 
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